J Liver Cancer.  2016 Sep;16(2):118-122. 10.17998/jlc.2016.16.2.118.

A Case of Successful Hepatic Resection after Insufficient Response to Transarterial Chemoembolization and Radiation Therapy in Hepatocellular Carcinoma with Portal Vein Invasion

• Na SK
• Yim HJ
• Suh SJ
• Jung YK

• KMID: 2357341
• DOI: http://doi.org/10.17998/jlc.2016.16.2.118

Abstract

Hepatocellular carcinoma (HCC) with portal vein invasion has a poor prognosis. Treatments such as transarterial chemoembolization (TACE), radiation therapy (RT), sorafenib are done as a first line treatment. But in case of incomplete response to first line treatment, there's no established guideline about salvage treatment. We present a 47 year-old male who was diagnosed as HCC with portal vein invasion. He was treated with RT and repeated TACE, but remnant viable tumor was observed. Surgical resection was performed as a salvage treatment, and HCC was completely removed. He has been followed up over 3 years, but there was no recurrence.

Keyword

Hepatocellular carcinoma; Portal vein; Thrombosis; Surgery

MeSH Terms

Carcinoma, Hepatocellular*
Humans
Male
Portal Vein*
Prognosis
Recurrence
Salvage Therapy
Thrombosis